Gregory Thomas Havlena, MD in Fontana, CA - Medicare Interventional Radiology

Gregory Thomas Havlena, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fontana, California. He went to Johns Hopkins University School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-5000.

Gregory Thomas Havlena is licensed to practice in California (license number A113756) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598993859.

Contact Information

	Gregory Thomas Havlena, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Gregory Thomas Havlena
Gender	Male
Speciality	Interventional Radiology
Experience	15 Years
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gregory Thomas Havlena attended and graduated from Johns Hopkins University School Of Medicine in 2009

NPI Data:

NPI Number: 1598993859
Provider Enumeration Date: 06/25/2009
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3072821404
Enrollment ID: I20151002002573

Medical Identifiers

Medical identifiers for Gregory Thomas Havlena such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598993859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	A113756 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital Fontana/ontario	Fontana, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gregory Thomas Havlena allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory Thomas Havlena is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gregory Thomas Havlena, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000	Gregory Thomas Havlena, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-5000

Reviews and Comments

Radiology Doctors in Fontana, CA

Edmond Yang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Monica Lau Leung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dip S. Sidhu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
John D Tucker, Radiology Medicare: Medicare Enrolled Practice Location: 9985 Sierra Ave, Bldg. #3, Dept. Of Radiology, Fontana, CA 92335 Phone: 909-427-7649
Vicente Pierantoni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 Fax: 626-405-6768
Jon Pin Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Sam K. Kim, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Gregory Thomas Havlena, MD - Medicare Interventional Radiology in Fontana, CA